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This study will assess the systemic exposure and pharmacokinetic parameters of GSK2894512 following twice daily topical administration of 1% and 2% cream in adult subjects with AD, and will provide information about the systemic safety as well as local safety and tolerability following twice daily application to up to 35% body surface area (BSA) of affected skin of subjects with AD. It will be an open-label, sequential study consisting of 2 cohorts. A cohort of 6 subjects (Cohort 1) will apply GSK2894512 (cream, 2%) to affected skin on an area ranging from 15 to 35% of the total BSA for 20 days plus a final dose on Day 21. Cohort 2 will consist of 6 subjects that will apply 1% cream. Cohort 2 will follow the same procedures as Cohort 1.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GSK2894512 2.0% Cohort | Experimental | Subjects will apply a thin layer of GSK2894512 2.0% topical cream twice daily (morning and evening) for 20 days and only in morning on day 21, to all affected skin areas (15-35% BSA) identified at baseline, excluding the scalp and around the eyes |
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| GSK2894512 1.0% Cohort | Experimental | Subjects will apply a thin layer of GSK2894512 1.0% topical cream twice daily (morning and evening) for 20 days and only in morning on day 21, to all affected skin areas (15-35% BSA) identified at baseline, excluding the scalp and around the eyes |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK2894512 Topical Cream | Drug | GSK2894512 will be supplied as white to off-white topical cream in doses of 2.0% (20 milligrams/gram [mg/g]) and 1.0% (10 mg/g) |
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| Measure | Description | Time Frame |
|---|---|---|
| Composite of pharmacokinetic (PK) parameters | PK parameters include plasma concentrations of GSK2894512, maximum observed plasma concentration (Cmax), time to Cmax (tmax), area under the plasma concentration-time curve (AUC) to last measurable concentration [AUC(0-t)], AUC through 24 hours [AUC(0-24)] and AUC per dosing interval [AUC(0-tau)], apparent terminal phase half-life following the last dose (t1/2); steady-state trough concentrations (Ctau), accumulation ratio (Ro), as data allows. | On Day 1 at pre-dose, 1 hour (h), 2h, 4h, 8h, 10h, 12h, 14h, 16h; On Days 2, 3, 4, 7 and 14 at Pre-dose; On Day 21 at pre-dose, 1h, 2h, 4h, 8h, 10h, 12h; On Day 22 at 0h |
| Number of subjects with adverse events (AEs) | An AE is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product temporally associated with the use of a medicinal product | Up to Day 22 |
| Safety as assessed by Vital signs | Vital signs will include height (only at baseline) and weight (only at baseline and Day 22), temperature, systolic and diastolic blood pressure and pulse rate | Up to Day 22 |
| Safety as assessed by electrocardiogram (ECG) parameters | Triplicate 12-lead ECGs will be obtained at each time-point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and corrected QT (QTc) intervals. | Up to Day 22 |
| Safety as assessed by abbreviated physical examination parameters | Physical examination will include assessments of the skin, lungs, cardiovascular system, and abdomen (liver and spleen). | Baseline and Day 22 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Eczema Area and Severity Index (EASI) | The EASI scoring system is a standard clinical tool for assessing the severity of AD that takes into account the overall severity of erythema, infiltration/papulation, excoriation, and lichenification, as well as the extent of BSA affected with AD. | Baseline (Day -1) and Days 3, 7, 14 and 21 |
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Inclusion Criteria:
Between 18 and 65 years of age inclusive, at the time of signing the informed consent
Confirmed clinical diagnosis of AD according to established criteria by Hanifin at the screening visit.
History of AD of at least 6 months.
Atopic dermatitis on 15-35%, of the BSA, (scalp and area around the eyes not included as treatment area) at baseline. Note: 1% BSA is approximately equal to the surface of one hand with fingers together (a handprint)
An IGA of AD score of >=3 at baseline.
Male: Male subjects with female partners of child bearing potential must comply with the following contraception requirements from the time of first dose of study medication until at least five half-lives of study medication after the last dose of study medication:
These allowed methods of contraception are only effective when used consistently, correctly and in accordance with the product label. The investigator is responsible for ensuring that subjects understand how to properly use these methods of contraception.
A woman is eligible to participate if she is of non-reproductive potential, defined as:
Capable of giving signed informed consent as described in Protocol which includes compliance with the requirements and restrictions listed in the consent form and in protocol.
Exclusion Criteria:
NOTES: The QTc is the QT interval corrected for heart rate according to Bazett's formula (QTcB), Fridericia's formula (QTcF), and/or another method, machine-read or manually over-read. The specific formula that will be used to determine eligibility and discontinuation for an individual subject should be determined prior to initiation of the study. In other words, several different formulae cannot be used to calculate the QTc for an individual subject and then the lowest QTc value used to include or discontinue the subject from the trial. For purposes of data analysis, QTcB, QTcF, another QT correction formula, or a composite of available values of QTc will be used as specified in the Reporting and Analysis Plan (RAP).
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Montreal | Quebec | H2K 4L5 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29389078 | Derived | Bissonnette R, Vasist LS, Bullman JN, Collingwood T, Chen G, Maeda-Chubachi T. Systemic Pharmacokinetics, Safety, and Preliminary Efficacy of Topical AhR Agonist Tapinarof: Results of a Phase 1 Study. Clin Pharmacol Drug Dev. 2018 Jun;7(5):524-531. doi: 10.1002/cpdd.439. Epub 2018 Feb 1. |
| Label | URL |
|---|---|
| Results for study 201851 can be found on the GSK Clinical Study Register. | View source |
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| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
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| Safety as assessed by clinical laboratory assessments | Clinical laboratory assessments will include hematology, clinical chemistry, urinalysis parameters | Baseline, Day 7, 14 and Day 22 |
| Local tolerability as assessed by degree of local irritation | The application sites will be assessed for presence and overall degree of irritation | Baseline , Days 1, 2, 3, 4, 7, 14, 21 and 22 |
| Proportion of subjects with >=50% improvement in EASI | Baseline (Day -1) and Days 3, 7, 14 and 21 |
| Proportion of subjects who achieve an Investigator's Global Assessment (IGA) of 0 or 1 and have at least a 2-point improvement over baseline | IGA is a clinical tool for assessing the current state/severity of the subject's AD. | Baseline (Day -1) and Days 3, 7, 14 and 21 |
| Change from baseline in subject's pruritus (numeric rating scale [NRS]) | Subject-reported itch (pruritus) severity will be analyzed by the daily sign and symptom severity diary NRS. | Baseline and up to Day 22 |
| Change from baseline in % BSA affected | Percentage of body surface area (BSA) affected will be assessed at the specified time points. | Baseline (Day -1) and Days 3, 7, 14 and 21 |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |